Emmanuelle Cugy

Emmanuelle Cugy
Centre Hospitalier D'Arcachon · Médecine Physique et de Réadaptation

MD

About

104
Publications
43,743
Reads
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198
Citations
Additional affiliations
April 2018 - present
University of Toulouse
Position
  • Medical Doctor
Description
  • course about swallowing disorders in stroke in Inter-University Diploma
November 2014 - present
Centre Hospitalier D'Arcachon
Centre Hospitalier D'Arcachon
Position
  • Medical Doctor
March 2014 - June 2014
Centre Hospitalier Universitaire Rouen
Position
  • Master's Student
Description
  • works on transcutaneous electrical stimulation and dysphagia
Education
September 2012 - June 2014
Université Jean Monnet
Field of study
  • « Exercice Sport Santé Handicap »
September 2011 - June 2012
Université de Montpellier
Field of study
  • Déglutition
September 2010 - June 2011
University of Limoges
Field of study
  • Pathologie Fonctionnelle Pelvi-Périnéale

Publications

Publications (104)
Conference Paper
Objective The incidence of injuries in athletics is important, with consequences at short and long terms in sport, health, social and professional levels. It is therefore important to define strategies to reduce the incidence and severity of injuries in athletics. The objective of this study was to determine whether an injury prevention program (IP...
Article
Background: Stroke-associated pneumonia is a leading cause of in-hospital death and post-stroke outcome. Screening patients at high risk is one of the main challenges in acute stroke units. Several screening tests have been developed, but their feasibility and validity still remain unclear. Objective: The aim of our study was to evaluate the valid...
Poster
Full-text available
Objective Cauda equina syndrome (CES) is an uncommon neurological condition caused by compression of the Cauda equina. Since it was first described, decompression was proposed instead of conservative treatment in acute CES caused by a lumbar disc hernia. But functional outcome may still be poor with postoperative perineal dysfunction in half of pat...
Poster
Full-text available
The consequences of breast cancer are important in a woman's life. Among the side effects associated with it, fatigue is the most reported symptom. It affects the majority of patients and may persist for months or even years after treatment. The origin of this fatigue is widely discussed and multiple factors interfere. A tired patient sees her qual...
Article
Objective: The aim of this study was to assess the effect of submental sensitive transcutaneous electrical stimulation (SSTES) on pharyngeal cortical representation after the creation of an oropharyngeal cortical virtual lesion in healthy subjects. Methods: Motor-evoked potential amplitude of the mylohyoid muscles was measured with transcranial mag...
Article
Full-text available
Dysphagia is common in patients with neuromuscular diseases (NMDs). Its management differs by country and clinical setting. The purpose of this study was to describe current practices in the management of dysphagia in NMDs across Europe. An online survey of sixteen questions was developed, including basic information on facilities, existence of a m...
Poster
Full-text available
INTRODUCTION A l'instar des troubles de la marche décrits par la New Functional Ambulation Classification (FAC modifiée), les troubles de la déglutition peuvent être rapportés via une échelle fonctionnelle, la Functional Oral Intake Scale (FOIS). Cette échelle clinique se décline en 7 items (1 = pas d'alimentation par voie orale, 7 = alimentation...
Poster
Full-text available
Introduction - Oculopharyngeal muscular dystrophy (OPMD) is a rare condition, with a prevalence around 1/100 000. It is an adult onset disease, with first signs started between 40 and 70 years old. The genetic abnormality was found in 1998, it corresponds to a triplet extension in chromosom 14 gene coding for polyadenylate-blinding protein nuclear...
Poster
Full-text available
Introduction - Deglutition and locomotion are functions sharing similar mechanims, associating automatic and voluntary control. Ambulatory status in frailty patient (1) or multiple sclerosis patients (2) seems to be a risk factors for dysphagia. We proposed to explore ambulation and oral intake modalities in our population. Material & Methods - Ret...
Poster
Full-text available
Objectif - La dénutrition pré et post Accident Vasculaire Cérébral (AVC) est responsable d'une augmentation de la durée d'hospitalisation, d'un mauvais pronostic fonctionnel et d'une augmentation de la mortalité à moyen terme. Cependant, la prévalence de la dénutrition à l'admission en Unité Neuro-Vasculaire (UNV) et à la phase aigüe de l'AVC reste...
Poster
Full-text available
Objective - Lumbar spinal stenosis (LSS) is at risk of acute but also "chronic" cauda equina syndrome (CCES). This syndrome corresponds to symptoms of the lower limbs associated with urination, bowel, sexual disorders and saddle paresthesias and/or pain. They can be permanent or triggered by standing and/or walking. Nevertheless, frequency of CCES...
Poster
Full-text available
Introduction - Huntington Disease (HD) is a rare neurodegenerative disorder with a genetic autosomal-dominant inheritance, which first involves basal ganglia (caudate nucleus and putamen). Swallowing disorders can occur in patients at the early stages of the disease and become a major problem in later stages by inducing repeated choking and leading...
Article
Full-text available
We aimed to determine whether an Athletics Injury Prevention Programme (AIPP), targeting the most common athletics injuries, can reduce the occurrence of injury complaints that lead to restrictions in athletics participation (participation restriction injury complaints) in the short (12 weeks) and long (40 weeks) terms. For our 40-week prospective...
Poster
Full-text available
Introduction - Le vieillissement de la population induit une augmentation de la prévalence des maladies chroniques et des sujets en perte d’autonomie. Les bienfaits de l’activité physique sur la santé sont connus et valides. Il se développe depuis une trentaine d’années des programmes d’activité physique adaptes aux besoins et aux objectifs des pa...
Poster
Full-text available
Les orthophonistes interviennent fréquemment auprès des patients cérébro-lésés pour évaluer et prendre en soin les troubles cognitivo-linguistiques, de la déglutition et de la phonation. Le décret relatif aux actes professionnels et à l’exercice de la profession d’orthophoniste prévoit l’intervention des orthophonistes dans la rééducation pharyngo-...
Poster
Full-text available
L’activité physique et sportive régulière est un facteur de santé à la fois en terme de prévention des principales maladies chroniques, de maintien voire de l’amélioration du capital santé et de la prise en charge de la plupart des maladies chroniques. De nombreuses fédérations sportives ont développées des activités Sport Santé, dont la fédération...
Presentation
Les présentations sont disponibles au lien suivant : https://www.ampra.fr/nos-journees-arcachon-juin-2019/
Poster
Full-text available
Introduction/Background - Because a Nursing Home is at first a place to live, the quality of everyday life must be preserved, especially the pleasure of eating, despite the risk of swallowing disorders. A multi-disciplined approach to enhance the residents’ eating pleasure (ABC prevention plan) was developed. Material and Method - Nine nursing hom...
Conference Paper
Introduction/Background - Athletics practiced at high intensity is a source of injuries because of constraints on musculo-skeletal structures. Social and health interests of physical activities amongst disabled patients are demonstrated. In the last few years, popularization of paralympic sports implies an increased number of participants and injur...
Conference Paper
Introduction/Background When paralympic means «beside» the Olympic games and the International Paralympic Committee's catchword is: «Spirit In Motion»; we wanted to report how the paralympic movement has increased during the last game. The medical team wanted therefore to present how the paralympic games in Rio were completed on their part. Materi...
Conference Paper
Introduction/Background The Para-sport Movement aims to offset the restriction of sport participation by offering fair competition and rules. As such, the classification process is fundamental and unavoidable. It determines who can compete. Material and method Following the International Classification of Functioning Disability and Health, classif...
Poster
Full-text available
Introduction/Background - The consequences of breast cancer are important in a woman's life. Among the side effects associated with it, fatigue is the most reported symptom. It affects the majority of patients and may persist for months or even years after treatment. The origin of this fatigue is widely discussed and multiple factors interfere. A t...
Poster
Full-text available
Introduction/Background - Cervical osteophytes are often accidentally discovered on cervical spine X-rays. Usually, they have low impact on swallowing. We report one case of surgical treatment for dysphagia secondary to cervical hyperostosis. Material and Method - With the patient's consent, we retrospectively reviewed his medical record. Results -...
Article
Introduction/Background In France, breast cancer currently affects one woman in eight – 54,000 new cases were detected in 2015. Among them, some women with motor disabilities as almost 100,000 women aged under 65 have to use wheelchairs. Numerous scientific studies have highlighted the positive effects of well-adapted physical activity after breast...
Article
Full-text available
Introduction/Background The Para-sport Movement aims to offset the restriction of sport participation by offering fair competition and rules. As such, the classification process is fundamental and unavoidable. It determines who can compete. Material and method Following the International Classification of Functioning Disability and Health, classif...
Article
Introduction/Background When paralympic means «beside» the Olympic games and the International Paralympic Committee's catchword is: «Spirit In Motion»; we wanted to report how the paralympic movement has increased during the last game. The medical team wanted therefore to present how the paralympic games in Rio were completed on their part. Materi...
Article
Introduction/Background Athletics practiced at high intensity is a source of injuries because of constraints on musculo-skeletal structures. Social and health interests of physical activities amongst disabled patients are demonstrated. In the last few years, popularization of paralympic sports implies an increased number of participants and injurie...
Article
Introduction/Background Spinal cord-injured athletes are of an inability to vasodilate and sweat below the injury, increasing the risk for marked core body temperature rises. Tetraplegics athletes have an important thermoregulatory impairment and are great risk of heat illness at a high intensity exercise or in hot environment. The magnitude of thi...
Article
L’accident vasculaire cérébral (AVC) est l’une des maladies neurologiques aiguës les plus répandues et l’une des principales causes de mortalité et de handicap physique chez les adultes. Les patients victimes d’un AVC présentent un risque élevé de pneumopathie par inhalation, une complication potentiellement mortelle. Ils sont prédisposés à la dénu...
Poster
Full-text available
Tracheostomy weaning and decanulation in a population of patients with brain injury. Presentation of a pilot study
Article
Contexte La pratique de l’athlétisme peut entraîner des traumatismes – 61 à 76 % des athlètes ont au moins une blessure durant une saison de pratique avec une incidence rapportée de 3,6 à 3,9 blessures par 1000 heures d’athlétisme. Ainsi, leur prévention représente un enjeu majeur. Les objectifs de cette étude ont été d’élaborer un programme de pré...
Research
Full-text available
traduction française libre des recommandations conjointes de l'ESSD et de l'EUGMS European Society for Swallowing Disorders – European Union Geriatric Medicine Society white paper: oropharyngeal dysphagia as a geriatric syndrome
Poster
Full-text available
Pleasure and security is a difficult balance to find in order to preserve the quality of life of the elderly. In nursing homes, daily meals must remain a pleasure despite dependence, dysphagia and the risks of malnutrition, pneumonia and asphyxia. Everybody is involved throughout, from patient screening to preparation of meals and assistance at mea...
Article
Epidural caudal steroid injections are commonly used to relieve radicular pains. If minor complications have widely been reported, few major complications have been described. This case presentation reports a cauda equina syndrome following caudal epidural injection. The magnetic resonance imaging (MRI) performed revealed a hematoma inside a caudal...
Conference Paper
Full-text available
Introduction : La fatigue est un symptôme fréquemment rapporté par les patients présentant un cancer. L’origine de cette fatigue est largement discutée et de multiples facteurs interfèrent. De nombreux travaux ont montré l’efficacité de l’activité physique comme contre-mesure et traitement non pharmacologique de la fatigue. Objectif : Evaluer l’i...
Poster
Full-text available
Case Report Introduction - Gunshot wounds of the internal carotid artery are associated with a high mortality rate, largely related to stroke. Material & Methods - Case report Results - A 74-year-old man was admitted after sustaining a single gunshot wound to the neck with an expanding and compressive hematoma on the left. Because of active bleedin...
Article
Full-text available
Background Athletics practice leads risk of injuries with negative consequences on participation. It is therefore important to develop and validate strategies to prevent it. Objective To determine whether an Athletics Injury Prevention Program (AIPP), targeting the most common athletic injury types (hamstring strain, achilles and patellar tendinop...
Poster
Full-text available
Introduction Les myopathies inflammatoires, ou myosites, regroupent plusieurs pathologies musculaires acquises : polymyosite, dermatomyosite, myopathie nécrosante, myosite à inclusions et syndrome de chevauchement.[1,2] Elles sont définies par des symptômes, des auto-anticorps et des aspects microscopiques (biopsie musculaire) qui leur sont propres...
Poster
Full-text available
Introduction L’augmentation de l’espérance de vie des patients porteurs de myopathie non acquise conduit à la mise en évidence et à la gestion de nouvelles dysfonctions. Il en est ainsi des troubles de la déglutition. Le dépistage annuel voir l’évaluation fonctionnelle de la déglutition est recommandé depuis la conférence de consensus établie à Evr...
Poster
Full-text available
Introduction -- Stroke-associated pneumonia is a leading cause of in-hospital death following stroke. Moreover patients with stroke-associated pneumonia show poorer functional outcome. Screening patients at high risk is one of the main challenges in acute stroke units. Risk scores are actually developed to predict post-stroke pneumonia based on rou...
Conference Paper
Objective The epidemiology of injuries is the first step in the sports injuries prevention. In this context, the IAAF and EA have implemented a prospective injury follow-up during their international athletics championships since 2007, and the FFA initiated since the French championships in 2014. The aim of the study was to determine the incidence...
Poster
Full-text available
Introduction Firstly, the Nursing Home is a place to live for our seniors. Each day, the quality of life in this place must be preserved, especially the pleasure of eating, despite of the risk of swallowing disorders. Currently, this aspect is not totally followed by our institutions. Indeed, a multi-disciplined approach should be established to in...
Article
La prévention des traumatismes en athlétisme représente un enjeu important pour les fédérations sportives internationales et nationales, tels que le Comité international olympique (CIO), l’International Association of Athletics Federations (IAAF), l’European Athletics (EAA) et la Fédération française d’athlétisme (FFA). En suivant la démarche scien...
Research
Full-text available
Traduction française libre des recommandations de l'ESSD sur les épaississants Effect of Bolus Viscosity on the Safety and Efficacy of Swallowing and the Kinematics of the Swallow Response in Patients with Oropharyngeal Dysphagia: White Paper by the European Society for Swallowing Disorders (ESSD)
Article
The incidence and mortality of ENT cancers decreased since 1990 by about 3-6% per year, but the frequency remains high with an estimated incidence of 14,500 new cases/year. These cancers are still predominantly male (75% of new cases) and thrive in the age group 45-64 years. Despite progress, morbidity and mortality remain high and long-term compli...
Presentation
Full-text available
Les troubles de la déglutition sont fréquents après un accident vasculaire cérébral, touchant environ 50% des patients (données physiopathologiques) avec un retentissement clinique chez 14%. Le type de dysphagie dépend de la localisation de l’AVC.
Presentation
Full-text available
Retour et maintien à domicile de la personne en situation de handicap Comment lever les freins ? Point sur l’alimentation et les troubles de la déglutition
Poster
Full-text available
Introduction – Les infections survenant dans les suites d’un accident vasculaire cérébral ischémique sont une cause majeure de morbi-mortalité. L’antibiothérapie probabiliste post-AVC, malgré une réduction du nombre d’infection, ne modifie pas le devenir fonctionnel. Un score prédictif de survenu a été développé par une équipe américaine, permettan...
Poster
Full-text available
Introduction Selon l’European Society of Swallowing Disorders, tous les patients victimes d’AVC doivent, à la phase aigue, être maintenus à jeun jusqu’à ce que leur capacité de déglutition soit évaluée, à l’aide d’un outil de dépistage fiable et valide. L’objectif de ce dépistage est de réduire les complications respiratoires et nutritionnelles des...
Poster
Full-text available
Introduction – Les pneumopathies compliquant un AVC ont une morbi-mortalité élevée. Le dépistage des patients à risque élevé est l’un des principaux défis dans les unités de neuro-vasculaire. Des scores de risque, basé sur des données cliniques simples, ont été développés pour prédire le risque de pneumopathie à la phase précoce de l’AVC. Aucun n’e...
Presentation
Full-text available
La neurostimulation tibiale postérieure est un moyen thérapeutique non médicamenteux dans le traitement de l’hyperactivité vésicale, syndrome regroupant des symptômes urinaires irritatifs,
Conference Paper
Full-text available
Objectif - Déterminer l'effet de la stimulation électrique sous mentonnière transcutanée au seuil sensitif (SSTES) sur le contrôle cortical des muscles pharyngés après inhibition corticale chez des sujets sains. Méthode - Réalisation d’une inhibition corticale sur l’hémisphère dominant pour la déglutition chez 10 sujets sains puis électrostimulatio...
Article
Full-text available
Des troubles vésico-sphinctériens (TVS) surviennent fréquemment au décours d’un accident vasculaire cérébral (AVC), soit de novo, soit sur un terrain fonctionnel urinaire déjà perturbé. Leur gestion est fonction du délai après l'AVC, les préoccupations et les priorités étant très différentes en fonction du stade de la prise en charge au sein de la...
Poster
Full-text available
Introduction Ultrasound have an important place in ICU [1], both for invasive and diagnostic acts. It could play a role in the early diagnosis of laryngeal dysfunction, whose frequency is estimated at 41% after intubation> 48 h [2], without waiting for the completion of a naso-endoscopy. Indeed, the mobility of the vocal cords may be evaluated tran...
Conference Paper
Introduction : Dans le cadre de la collaboration entre les services d’orthopédie et de Médecine Physique et de Réadaptation, notre service de MPR a proposé une Evaluation des Pratiques Professionnelles portant sur la surveillance de la reprise mictionnelle au décours d’un geste chirurgical sur le rachis. Objectif : L’objectif de cette « démarche q...
Conference Paper
Full-text available
Introduction – Daily physical activity is recommended after stroke. Based on aerobic consideration, an efficient activity is defined by a 20 minutes period at 3-5,99 METs (Metabolic Equivalent Task), 3 times a week. However, level of activity still difficult to measured at early stroke phase in rehabilitation. Our hypothesis is that Barthel index c...
Research
Full-text available
Traduction libre en français des recommandations pour l'établissement du score ASIA. Version originale à l'adresse suivante http://www.asia-spinalinjury.org/elearning/elearning.php
Research
Full-text available
Il s'agit d'une traduction libre en français des recommandations élaborées par l'European Society of Swallowing Disorders. Le texte dans sa version originale est disponible à l'adresse suivante : http://www.myessd.org/position_statements.php.
Research
Full-text available
Il s'agit d'une traduction libre en français des recommandations de l'European Society of Swallowing Disorders (texte original sur http://www.myessd.org/position_statements.php)
Poster
Full-text available
Background – Stroke-associated pneumonia is a leading cause of in-hospital death following stroke.[1] Moreover patients with stroke-associated pneumonia show poorer functional outcome.[2] Screening patients at high risk is one of the main challenges in acute stroke units. A2DS2 score predicts post-stroke pneumonia based on routinely available data,...
Poster
Full-text available
Background – Oropharyngeal dysphagia is frequent in stroke patients and it alters their outcome. Since several years, we observe the development of facilitation techniques, such as peripheral stimulation, based on cortical reorganization. Even if transcutaneous electrical stimulation is attractive because of its simplicity, mechanisms of action are...
Conference Paper
Introduction La prévalence de l’obésité dans la population adulte française a augmenté de 76 % en 15 ans. La chirurgie bariatrique a radicalement amélioré la prise en charge des patients présentant une obésité sévère permettant une perte de poids importante. Cependant, après une chirurgie bariatrique, les patients doivent être suivis pour prévenir...
Presentation
Full-text available
Les complications respiratoires et nutritionnelles des troubles de la déglutition sont fréquentes après certains cancers ORL. Malgré un parcours de soin bien décrit, le dépistage et la prise en charge de ces complications restent difficiles.
Conference Paper
L’évolution de la scoliose idiopathique de l’adolescent est classiquement contrôlée par un suivi radiographique régulier. L’angle de Cobb, mesuré sur des radiographies de rachis entier, est considéré comme le gold standard de ce suivi. Objectif L’objectif de notre travail était d’étudier la sensibilité et la spécificité de paramètres de topographi...
Poster
Full-text available
Etiological diagnosis of myelitis is an emergency in order to provide appropriate treatment and reduce neurological complications. We report the cases of two patients with a non-compressive subacute myelitis. Radiculo-myelitis is the most common neurological manifestation of S.mansoni or S.haematobium. So, think NeuroSchistosomiasis at return from...
Poster
Full-text available
Postoperative neurological complications have been reported in 0-2 %. We aim to clarify the context, diagnostic and therapeutic elements to post-surgery cauda equina syndrome. In post operative context, cauda equina syndrome etiology is represented by dural tear and hematorachis. Our data are comparable to those of the literature. Spine surgeons mu...
Poster
Full-text available
Lower cranial nerves palsy is less than 1% after head injury, but strike the prognosis (75 % mortality). Three patients, 16 to 20 years, suffered a head injury, presented a multiple cranial nerve impairment, confirmed 18.7 ± 4.5 days after admission. All underwent ventilation and enteral nutrition for severe swallowing disorders. Etiology is periph...
Conference Paper
Intrathecal baclofen (ITB) therapy is used to treat severe spasticity complicating multiple sclerosis, cerebral palsy or spinal and cranial trauma. Therapeutic perspectives can evolve in at least 3 ways : first, the need for ITB management guidelines and consensus to disseminate good and safe practice; Plassat in his review show that the severe adv...
Article
The progression of adolescent idiopathic scoliosis is typically monitored via regular radiographic follow-up. The Cobb angle (as measured on whole-spine radiographs) is considered as the gold standard in scoliosis monitoring. OBJECTIVE: To determine the sensitivity and specificity of back surface topography parameters, with a view to detecting chan...